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. 2022 Apr;58(3):578-588.
doi: 10.1007/s10597-021-00856-z. Epub 2021 Jun 27.

Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry

Natalie J Maples  1   2 , Dawn I Velligan  3 , Eric C Jones  4 , Erin M Espinosa  5 , Robert O Morgan  6 , Melissa A Valerio-Shewmaker  7
Affiliations

Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry

Natalie J Maples et al. Community Ment Health J. 2022 Apr.

Abstract

There is increased interest over the last decade in the use of Shared Decision Making with individuals with serious mental illness to improve engagement in treatment and clinical outcomes. We conducted semi-structured qualitative interviews with 15 individuals with serious mental illness treated in an outpatient transitional care clinic serving people immediately after discharge from a psychiatric hospitalization. Parallel interviews were conducted with a variety of clinical providers (n = 9). Using latent thematic analysis, six themes were identified including: (1) Differences in the Use of SDM, (2) Consideration of Past Experiences, (3) Decisional Power Preferences, (4) Use of SDM in Psychiatry Versus Other Areas of Medicine, (5) Dignity and Disengagement, and (6) External Forces Impacting SDM. Implications for clinical practice and research using a shared decision-making approach within this treatment setting are further discussed.

Keywords: Mental health; Serious mental illness; Severe mental illness; Shared decision making; Transitional care clinic.

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Conflict of interest statement

Drs. Maples, Valerio-Shewmaker, Jones, Espinosa and Morgan have no conflict of interests or financial disclosures to report related to the publication or consulting agreements. Dr. Velligan has speaker bureau agreement with Janssen; consulting agreements with Janssen, Alkermes, Lundbeck and Otsuka; Advisory Board for Indivior and Lundbeck.

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References

    1. Adams JR, Drake RE, Wolford GL. Shared decision-making preferences of people with severe mental illness. Psychiatric Services. 2007;58(9):1219–1221. doi: 10.1176/ps.2007.58.9.1219. - DOI - PubMed
    1. Alegria M, Carson N, Flores M, Li X, Shi P, Lessios AS, Polo A, Allen M, Fierro M, Interian A, Jimenez A. Activation, self-management, engagement, and retention in behavioral health care: A randomized clinical trial of the DECIDE intervention. JAMA Psychiatry. 2014;71(5):557–565. doi: 10.1001/jamapsychiatry.2013.4519. - DOI - PMC - PubMed
    1. An Se, Kim G, Kim Ji. Effectiveness of shared decision-making training program in people with schizophrenia in South Korea. Perspectives in Psychiatric Care. 2015 doi: 10.1111/ppc.12144. - DOI - PubMed
    1. Arnow BA, Steidtmann D. Harnessing the potential of the therapeutic alliance. World Psychiatry. 2014;13(3):238–240. doi: 10.1002/wps.20147. - DOI - PMC - PubMed
    1. Arora, N. K., & McHorney, C. A. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38(3), 335–341. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/10718358 - PubMed

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